CLIA lab
CLIA 19D2129655: Walmart Pharmacy 10-1106
Vidalia, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2129655 belongs to Walmart Pharmacy 10-1106 in Vidalia, LA.
Certificate of Waiver, effective April 24, 2025, expires April 23, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 24, 2025
- Certificate expiration
- April 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 24, 2017
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 19D2129655
- Lab name
- Walmart Pharmacy 10-1106
- Address
- 4283 Carter St, Vidalia, LA 71373
- Phone
- (318) 336-8801
- Fax
- (318) 336-8821
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Vidalia, LA
- Christus Trinity Clinic Cardiology - VidaliaCertificate of Waiver, Community clinic19D2308398
- Enhabit Hospice of VidaliaCertificate of Waiver, Hospice19D2022114
- Fairbanks Orthopedic CenterCertificate of Accreditation, Physician office19D2059403
- Intensive Home Healthcare and Hospice of LouisianaCertificate of Waiver, Hospice19D2016328
- J Kevin Ingram MedicalCertificate of Waiver, Physician office19D1088143
- Louisiana Ear Nose & Throat Specialists, IncCertificate of Waiver, Physician office19D2313762
- Medcentris Specialty GroupCertificate of Waiver, Physician office19D2255691
- Miss Lou Family HealthCertificate of Waiver, Other practitioner19D2267873
- Miss-Lou Eye CareCertificate of Waiver, Other25D2083284
- Pediatric and Adolescent Clinic of Louisiana LLCCertificate of Compliance, Rural health clinic19D1005933
Related
Questions
What is the CLIA number for Walmart Pharmacy 10-1106 in Vidalia?
19D2129655, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walmart Pharmacy 10-1106 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D2129655 expire?
The CMS file lists April 23, 2027 as the certificate expiration date; the certificate took effect April 24, 2025.